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What is an Addiction Professional Credentialing Program? An addiction credentialing program is an organized system of baseline requirements that must be met in order for a professional to practice within a given field An addiction credentialing program is an organized system of baseline requirements that must be met in order for a professional to practice within a given field

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Benefits of Certification  Professionalization of the field of substance use disorders  Proven method by which addiction professionals are recognized  Constant actualization of skills and knowledge of addiction professionals  Clients verification that persons offering treatment services are competent, skilled and knowledgeable  It improves overall quality of services

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What is an Addiction Licensing Board Established to: Established to: Enforce effective Substance Use Disorder practice Enforce effective Substance Use Disorder practice Determine adequate practice standards Determine adequate practice standards Protect the public Protect the public Develop and maintain performance standards Develop and maintain performance standards Ensure safety of the public Ensure safety of the public Act on ethical complaints Act on ethical complaints

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Licensure Boards 15 State - Licensing Board for Substance Use Disorders 15 State - Licensing Board for Substance Use Disorders 51 State – Substance Use Disorder Credentialing Boards 51 State – Substance Use Disorder Credentialing Boards Nine National Credentialing Boards Nine National Credentialing Boards -Available to in every state and territory -Available to in every state and territory -Similar criteria, requirements, standards -State Boards recognized within each state -State Boards recognized within each state

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Accepted Credential Standards Should meet national criteria Should meet national criteria Should have specific educational requirements Should have specific educational requirements Should have specific skills set Should have specific skills set Should require clinical supervisory over site Should require clinical supervisory over site Should require renewal at least every 2 years Should require renewal at least every 2 years

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Need and Demand for Behavioral Health Services Integration of Substance Use Disorders practitioners as a specialty profession is essential Integration of Substance Use Disorders practitioners as a specialty profession is essential Recognition that SUD Professionals have supported the medical, mental health and other behavioral health professionals is paramount to integrated care. Recognition that SUD Professionals have supported the medical, mental health and other behavioral health professionals is paramount to integrated care.

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Need and Demand for Behavioral Health Services Acceptance that the SUD Professional has emerged into a full fledged profession Acceptance that the SUD Professional has emerged into a full fledged profession

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A Specialty Profession This profession has its own This profession has its own Core competencies Core competencies Scopes of practice Scopes of practice Career ladder Career ladder Standard of Ethics Standard of Ethics

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Scopes of Practice The activities of a counselor within the Substance Use Disorder profession are based on the practice dimensions outlined in TAP 21 and include the following: 1. Clinical Evaluation 1. Clinical Evaluation 2. Treatment Planning 2. Treatment Planning 3. Referral 3. Referral 4. Service Coordination 4. Service Coordination 5. Counseling 5. Counseling

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Scopes of Practice 6. Client, Family, and Community Education 6. Client, Family, and Community Education 7. Documentation 7. Documentation 8. Professional and Ethical Responsibility 8. Professional and Ethical Responsibility

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Under Representation of Minorities in Behavioral Health Workforce Although minorities make up approximately 30% of the U.S. population, they currently account for only Although minorities make up approximately 30% of the U.S. population, they currently account for only – 24.3% of all psychiatrists, – 5.3% of psychologists, – 20% of counselors, – 8.5% of marriage and family therapists, – 4.9% of school psychologists, and – 9.8% of psychiatric nurses (Duffy et al., 2004).

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Eliminating Disparities Although minorities are a growing percentage of the nation’s population, they continue to be underrepresented in the behavioral health field. Although minorities are a growing percentage of the nation’s population, they continue to be underrepresented in the behavioral health field. We need to attract more minorities to the behavioral health workforce.We need to attract more minorities to the behavioral health workforce.

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Eliminating Disparities, Cont. Only 10.4% of those (12 and older) who needed treatment for a drug or alcohol use problem in 2007 received it at a specialty facility. Only 10.4% of those (12 and older) who needed treatment for a drug or alcohol use problem in 2007 received it at a specialty facility. We need to expand access to underserved areas and populations with culturally appropriate services and treatment.We need to expand access to underserved areas and populations with culturally appropriate services and treatment.

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Challenges Continued 1. Acceptance of career ladder that is tied to scopes of practice 2. Reduce stigma for patients & professionals 3. Minority recruitment 4. Adding addictions professionals to national Service Health Core Service Health Core 5. Promotion & Recognition at the agency and state level to enhance recruitment 6. Resources for one-stop treatment cent

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Overcoming Challenges Building Capacity for HBCU, HIS, and Tribal, PBS/PBI by providing technical assistance in increasing degree programs Building Capacity for HBCU, HIS, and Tribal, PBS/PBI by providing technical assistance in increasing degree programs Offer both on-line and traditional courses and degrees Offer both on-line and traditional courses and degrees Provide regional leadership conferences for faculty and students in the field.

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Overcoming Challenges Cont. Provide regional curriculum development workshops through the use of technology Provide regional curriculum development workshops through the use of technology (webinars) in developing curricula, training workshops, etc. Incorporation of Core Competencies in current Syllabi Incorporation of Core Competencies in current Syllabi Incorporation of evidence-based and emerging best practices into course syllabi

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Overcoming Challenges Cont. Incorporation of infusion into non- substance abuse /mental health offerings in all curricula Integration of HIV/AIDS and substance abuse (relationship of alcohol and other drug use and mental health to HIV/AIDS) in curriculum development

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Overcoming Challenges, Cont. Research and compilation of a database on the licensure process for each State Research and compilation of a database on the certification process for each State Research and compilation of a database that matches national accreditation body requirements with State requirements

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Overcoming Challenges, Cont. Creation of a database of employment opportunities, cooperative agreement availability, and substance abuse internship opportunities at the national and State levels and with community- and faith-based organizations serving substance abuse and behavior health agencies

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Overcoming Challenges, Cont. Expose students to strong mentors and career opportunities in behavioral health.

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SAMHSA Response: Minority Fellowship Program (MFP) SAMHSA program supported by all three centers, CSAT, CSAP, CMHS. SAMHSA program supported by all three centers, CSAT, CSAP, CMHS. Purpose: to facilitate the entry of ethnic minority students into mental health careers and Purpose: to facilitate the entry of ethnic minority students into mental health careers and increase the number of psychologists, psychiatric nurses, psychiatrists, and social workers trained to teach, administer, and provide direct mental health and substance abuse services to ethnic minority groups.

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History of Certification  People working in the addiction counseling profession wanted their skills and knowledge to be acknowledged and obtain professional recognition for their work.  A voluntary certification process began in the early 1970s.  Certification procedures and eligibility were established by independent professional boards.

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History of Certification  The US government began in the late 1970s to include requirements for persons to demonstrate that they held and had obtained credentials to practice within the facilities receiving Federal funds.  Until the 1980s, this was a voluntary process, and presently in 5 states, the voluntary status remains. Nevertheless, treatment facilities within those states require their personnel to be licensed.  Different states establish different eligibility requirements for certification or licensing.

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National Certification Commission for Addiction Professionals (NCC AP) Under the banner of NAADAC, the Association for Addiction Professionals, the National Certification Commission for Addiction Professionals (NCC Ap) operates as an independent body for all matters involving the Association ’ s alcohol and drug abuse counselor certification and specialty endorsement opportunities at the national/international level.

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National Certification Commission (NCC) The NAADAC/NCC AP is building the profession by ensuring high standards of excellence for certification/licensure and by providing quality continuing education.

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History of the NCC AP  Established in 1990 under the auspices of NAADAC, The Association for Addiction Professionals  The NCC AP has independent autonomy in the development and promulgation of our standards for testing, including:  who qualifies for the exams  content  administration  scoring  Appeals  Development of new Credential Products

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Mission of the NCC AP The purposes and benefits of the NCC AP ’ s national certifications are:  to focus on the individual counselor and to provide a formal indicator of the current knowledge and competence at the national level;  to provide a national standard that is generally higher than the state requirements and encourages professionals to continue to learn for the sake of their clients;

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Mission (cont.)  to afford a means of establishing, measuring, and monitoring the requirements for knowledge in the profession; and  to provide assistance to employers, health care providers, educators, government entities, labor unions, other practitioners, and the public in the identification of quality counselors who have met the national competency standards.

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NCAC I Requirements  Current state certification/licensure as an alcohol and/or drug abuse counselor.  Three years' full-time or 6,000 hours of supervised experience as an alcohol and/or drug abuse counselor.  270 contact hours of education and training in alcoholism and drug abuse or related counseling subjects, including 6 hours of ethics training and 6 hours of HIV/AIDS training.  Passing score on the NCAC I written examination within 4 years of application.

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NCAC II Requirements  A Bachelor's level college degree from a regionally accredited institution of higher learning.  Current state certification/licensure as an alcohol and/or drug abuse counselor.  Five years full-time or 10,000 hours of supervised experience as an alcohol and/or drug abuse counselor.  450 contact hours of education and training in alcoholism and drug abuse or related counseling subjects, including 6 hours of ethics training and 6 hours of HIV/AIDS training.  Passing score on the NCAC II written examination within 4 years of application.

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MAC Requirements  Master's Degree in the healing arts or related field with in-depth subjects applicable to the alcohol and drug abuse treatment arena, by a regionally accredited institution of higher learning.  Current state certification/licensure in alcohol and/or drug abuse counseling or a related healing art.  500 contact hours of specific alcohol and drug abuse counseling training.  Three years full-time or 6,000 hours of supervised experience, two years or 4,000 hours of which is post master's degree.  Passing score on the MAC written examination within 4 years of application.

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Specialty Opportunities The NCC AP also offers two specialty opportunities that allow nationally certified addiction counselors to demonstrate their knowledge base in a particular area of expertise: The NCC AP also offers two specialty opportunities that allow nationally certified addiction counselors to demonstrate their knowledge base in a particular area of expertise:  Tobacco Addiction Specialist (TAS)  Adolescent Specialist Credential(ASC)

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Preparing for the Changing Landscape Better information dissemination Better information dissemination More clarity in public announcements concerning decisions made at the national level More clarity in public announcements concerning decisions made at the national level Equal acceptance of ALL professions Equal acceptance of ALL professions Equal engagement in the planning for the future Equal engagement in the planning for the future Use of curricula developed for higher educational programs (NASCC) – SAMHSA sponsored Use of curricula developed for higher educational programs (NASCC) – SAMHSA sponsored Understanding the role certificants can play in Peer Recovery, Peer Coaching Understanding the role certificants can play in Peer Recovery, Peer Coaching

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The Future Integration of all services Integration of all services TA Center TA Center Clear career paths in this new landscape for all professions Clear career paths in this new landscape for all professions Building of a collaborative, collegial workforce Building of a collaborative, collegial workforce

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